Avery Blevins, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

16234 Issued in TX

Practice address

112 W 4TH St
Justin, TX 76247-5014

Phone

(940) 648-1700

Fax

(940) 648-1776

NPI assigned

Oct 30, 2024

Last updated

Oct 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Impact Medical and Chiropractic PLLCGroup PAC ID 4183973076, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Impact Medical and Chiropractic, PLLC

  • Family Medicine Physician
  • Justin, TX
  • NPI 1457839425
  Medicare reassignment Care Compare group NPD
• Jessica R. Judge DC, LLC

  • Chiropractor
  • Justin, TX
  • NPI 1871905760
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1770305641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 CARLOW CT",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482541",
            "telephone_number": "817-879-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W 4TH ST",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "762475014",
            "telephone_number": "940-648-1700",
            "fax_number": "940-648-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "AVERY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Renee Bates, SLP-A
• Devon Bennett
• Rachel Bennos, M .S. SLP-CF
• Stephen Bryan Bigham, DPT
• Breanna Elizabeth Birdsong, LPC
• Elizabeth Ann Boehm, SLP
• Susan Boelens
• Jennifer Lynn Brown, M.A. CCC-SLP
• Jesse Donald Brown, PHARMD
• Bryan Bigham Physical Therapy, LLC

• Chiropractor in Justin, TX
• Providers in Justin, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.